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Forth Department of the Treasury - Inlemal Revenue Service
(Rev.September197a) Notice of Federal Tax Lien Under Internal Revenue Laws ;
District Serial Number For Ofxionaf Use by Reeordinp Office
J ACKSONVILLS ~ f~ I O PMT 3S
As provided by sections 6321. 6322. and 6323 of the Internal Revenue Code,
notice is given that taxes (including interest and penalties) have been assessed
against -the following-named taxpayer. Demand for payment of this liability has
been made. but it remains unpaid. Therefore, there is a lien in favor of the United VERiftEO
States on all property and rights to property belonging to this taxpayer for the
amount of these taxes, and additional penalties. interest, and costs that may 4~5vV
BCCN@.
Name.of Taxpayer
Tandem Transport, Inc., a corporation
Residence
P. 0. Box 877
Ft. Pierce, F1. 33450
Unpaid Balance
~I~ Kind of Tax Tax Period Ended Date of Assessment Identifylrtg Number of Assessment
la) lb) lc) ld)
i o9-30-7 09-03-79 59- 3 2~zo3~29
.941 12-31-76 09-03-79 59-1615633
12-31-76 08-27-79 59-1615633 393.65
~ 941 03-31-77 09-03-79 59-16 5633 3.~.~
941 06-30-77 09-03-79 59-1615633 3.3x+•58
941 09-30-77 09-03-79 59- 5633
i .
Place of Filing
Clerk of Circuit Court Total = 14,863.50
St. Lucie County courthouse
Ft. Pierce, F1. 33450
, on this,
This notice was prepared and signed at Pierce, Fl. .
the 26th day of Marti .19
Signature Title
Ray Salye -Revenue Officer
Mar. Csrfif to f icer author by taw to nke acknowlsdpmanrs u not paar?tla/ fo tftt! vaffdMy o/ Notlcta o/
fadaal Ta: Uat C. . 2tT~r9, 1 , C.B. 125.)
PArt 1 - 7e !fe kADt by recotdlrto OfflO~"~ P~ - Forth 688 (Rev. 9.78)